Confidence in Women's Health: A Cross Border Survey of Adult Nephrologists
Confidence in Women's Health: A Cross Border Survey of Adult Nephrologists
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DOI：
10.3390/jcm8020176
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发表时间：
2019-02-01
影响因子：
3.9
通讯作者：
Hladunewich, Michelle A.
中科院分区：
文献类型：
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作者：
Hendren, Elizabeth M.;Reynolds, Monica L.;Hladunewich, Michelle A.
一系列女性健康问题与慢性肾脏疾病密切相关，但肾脏病学家对咨询或管理这些问题的信心尚未得到评估。治愈肾小球肾病（CureGN）的女性健康工作组是一项肾小球疾病的国际前瞻性队列研究，旨在评估成年肾病学家在管理女性健康方面的培训，暴露和信心。通过CureGN和加拿大肾脏病学会电子邮件网络以及美国肾脏病学会肾脏新闻在美国（US）和加拿大传播了一份25项电子问卷。使用描述性统计量总结应答频率。使用Pearson卡方检验或Fisher精确检验比较了提供者年龄、性别、执业国家和执业年限的响应。在154名受访者中，53%是女性，58%在美国执业，77%在学术环境中执业，中位年龄为41-45岁。超过65%的受访者对女性健康问题缺乏信心，包括月经失调、孕前咨询、怀孕管理和更年期。大多数人平均每月向不到一名妇女提供避孕或孕前咨询。只有12%的人能够到跨学科的妊娠诊所就诊。最后，89%的人认为跨学科指导方针和/或继续教育研讨会将提高知识。参与者对咨询和管理女性健康缺乏信心。创新的方法是必要的，以改善妇女肾脏疾病的护理，可能包括跨学科诊所的扩大，以病例为基础的教学材料的发展，以及跨学科的治疗指南集中在这一患者群体。
A range of women's health issues are intimately related to chronic kidney disease, yet nephrologists' confidence in counseling or managing these issues has not been evaluated. The women's health working group of Cure Glomerulonephropathy (CureGN), an international prospective cohort study of glomerular disease, sought to assess adult nephrologists' training in, exposure to, and confidence in managing women's health. A 25-item electronic questionnaire was disseminated in the United States (US) and Canada via CureGN and Canadian Society of Nephrology email networks and the American Society of Nephrology Kidney News. Response frequencies were summarized using descriptive statistics. Responses were compared across provider age, gender, country of practice, and years in practice using Pearson's chi-squared test or Fisher's exact test. Among 154 respondents, 53% were women, 58% practiced in the US, 77% practiced in an academic setting, and the median age was 41-45 years. Over 65% of respondents lacked confidence in women's health issues, including menstrual disorders, preconception counseling, pregnancy management, and menopause. Most provided contraception or preconception counseling to less than one woman per month, on average. Only 12% had access to interdisciplinary pregnancy clinics. Finally, 89% felt that interdisciplinary guidelines and/or continuing education seminars would improve knowledge. Participants lacked confidence in both counseling and managing women's health. Innovative approaches are warranted to improve the care of women with kidney disease and might include the expansion of interdisciplinary clinics, the development of case-based teaching materials, and interdisciplinary treatment guidelines focused on this patient group.